Provider Demographics
NPI:1235126673
Name:MCVAY, CHRISTINE (LISW-S)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:MCVAY
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 JEFFERSON AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-6955
Mailing Address - Country:US
Mailing Address - Phone:419-244-5511
Mailing Address - Fax:419-335-3462
Practice Address - Street 1:701 JEFFERSON AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-6955
Practice Address - Country:US
Practice Address - Phone:419-244-5511
Practice Address - Fax:419-335-3462
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI9005. SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical